The Speech Path, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE SPEECH PATH, LLC

Practice address

540 Hemlock St
Macon, GA 31201-3202

Phone

(478) 987-1610

Fax

(973) 976-4580

NPI assigned

Feb 25, 2010

Last updated

Feb 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Mizer

Title

Administrator

Phone

(478) 987-1610

Specialties & licenses 1

Addresses

Tax ID family

The Speech Path LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Speech Path

  • Speech-Language Pathologist
  • Perry, GA
  • NPI 1487011888
  NPD tax ID
• The Speech Path LLC

  • Speech-Language Pathologist
  • Macon, GA
  • NPI 1477950533
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Niederkorn, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Perry, GA
  • NPI 1366444846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1922320373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NORTHSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693344",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013202",
            "telephone_number": "478-987-1610",
            "fax_number": "973-976-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "MIZER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-987-1610"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Nexus Medical Group, LLC
• The Psychiatric Center
• The Southern Center for Choice Theory
• The Southern Center for Choice Theory, LLC
• The Speech Path LLC
• The Total Woman Healthcare Center, P.C.
• The Women's Health Institute of Macon, PC
• The Womens Center of Central Georgia
• Roger Peter Theodore, DPM
• Therapy Specialists of Georgia

• Speech-Language Pathologist in Macon, GA
• Providers in Macon, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.